MICHELLE BOUTIN PA
NPI 1194313080
Physician Assistant - Surgical in Auburn, ME

Q: What is Michelle Boutin's NPI number?

The NPI number for Michelle Boutin is 1194313080. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Q: What is Michelle Boutin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Boutin was last updated on November 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 06, 2021PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

15 GRACELAWN RD STE 101, AUBURN, ME 04210(207) 333-4710(207) 333-4715 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2022, Apr 8, 2022, Jan 6, 2021 (3 updates tracked since 2021).

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About Michelle Boutin Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE BOUTIN PA (NPI 1194313080) is an individual surgical provider in Auburn, Maine and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1194313080

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMICHELLE BOUTINCredential: PA

Location Address15 GRACELAWN RD STE 101Auburn, ME 04210-6347

Mailing AddressPo Box 95000 Lbx 7650Philadelphia, PA 19195-0001

Phone(207) 333-4710

Fax(207) 333-4715

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 6, 2021

Last NPPES UpdateNovember 8, 20223 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1194313080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

15 GRACELAWN RD STE 101, Auburn, ME 04210

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Secondary Practice Location 1

Location 1773 Main StHartford, ME 04220-5120 · Phone (207) 212-4119

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Boutin Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557756889

PECOS Enrollment IDI20220323000400

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

37 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200034

Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BORIS V KOVALENKO M.D.

Orthopaedic Surgery